UNKNOWN

FEED

Required: Excellent verbal and written communication skills; Strong interpersonal skills to work effectively with internal and external stakeholders; strong phone presence and comfortable dialing a high volume of calls per day; ability to work with a high degree of accuracy and attention to detail; Strong presentation skills both remote and in person, and the ability to handle multiple tasks simultaneously and to prioritize accordingly; competency in commonly used Microsoft Office suite of software including MS Word, MS Excel, MS PowerPoint, and related systems including SharePoint and CRM applications. PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals.

BrightSpring Health Services

Business Development Associate

FULL_TIME

OTHER

Ensures accuracy and completion of authorization data from customer information, medical records, referral/authorization forms, Military Treatment Facility electronic transmission and other documents into medical management system. Organizational Skills: Ability to organize people or tasks, adjust to priorities, learn systems, within time constraints and with available resources; detail-oriented.

TriWest Healthcare Alliance

Senior Referral Specialist

equestftpin

Specialty Pharmacist – High-Impact Therapies | Remote & Hybrid Opportunities | Career Growth Specialty pharmacy is one of the fastest-growing areas in healthcare. Our pharmacists deliver safe, effective, and personalized care for patients on complex specialty therapies.

Pharmacy Careers

Specialty Pharmacist (Remote Options)

ea_via_bold

Technical Skills: Knowledge of TRICARE policies and procedures, Case Management, Utilization Management, Managed Care concepts, Behavioral Health practices and principles, Medicaid and Medicare eligibility requirements and benefits, community resources, alternative funding programs, medical management systems, and protected health information; proficiency with the use of medical necessity criteria to evaluate care requests; working knowledge of medical coding. Problem Solving / Analysis: Thorough knowledge of health care delivery, UM, CM, managed care concepts, management reporting tools, and medical management systems; ability to perform critical, in-depth analysis of medical records for appropriateness and level-of-care determinations.

Manager, Case Management Special Programs

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. This role spans many specialties such as Nutrition, Exercise Physiology, Clinical/Nursing, Respiratory Therapy, Counseling and Pharmacy and will spend time addressing individual health and lifestyle concerns of our beneficiaries.

Health Coach

Orders/receives medical records for Potential Quality Issues (PQI and CQM Department activities according to desk procedures, conducts follow-up telephone calls to providers, and completes other processes to resolve missing documents. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.

Clinical Quality Support Specialist

The analyst serves as a key customer contact, providing insights on equipment condition, managing critical alerts, conducting operational performance reviews, and supporting customer adoption of digital services platforms. Working closely with Remote Monitoring Specialists and internal stakeholders, the role contributes to continuous improvement initiatives, root cause investigations, and the delivery of a high-quality Remote Monitoring Service.

YEAR

Sandvik

Remote Monitoring Analyst, White Pine, TN

Technical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.

Supervisor, Utilization Management

About the Role: On the Engineering Systems team at CrowdStrike, we operate and maintain many of the systems and services that support the build, test, signing, and deployment of our software to the cloud and to our customers, as well as providing consultation, troubleshooting, and engineering support for the creation and maintenance of the pipelines that provide those functions. We base all employment decisions--including recruitment, selection, training, compensation, benefits, discipline, promotions, transfers, lay-offs, return from lay-off, terminations and social/recreational programs--on valid job requirements.

CrowdStrike Inc

Engineer III - CICD Code Signing Automation (Remote)

Manage the GPiLEARN+ Training Program to include the associated Learning Management System (LMS) for the organization to include generating reports, maintaining the system in a compliance-ready state, and managing the annual seat license renewal and invoicing process. All Reworld positions require a candidate's ability to perform the duties and responsibilities of the role while upholding Reworld's Values, including (but not limited to) contributing to a safe and inclusive workplace, delivering results through trust, and building breakthrough capabilities.

Reworld Holding Corp

Senior Director, Technical Training

The successful candidate will play a key role in estimating projects, developing new business, building contractor relationships, supporting operations, and helping the company identify and win profitable work. The ideal candidate will have 5+ years of experience, strong estimating capabilities, excellent communication skills, and the ability to build lasting relationships with contractors, developers, engineers, and clients.

FourPoint People

Estimator

Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. The position collaborates to ensure relevant analysis and complete, timely reporting is provided to meet TriWest business needs and Government's Healthcare requirements.

Business Analyst Sr

The ACD Specialist lends administrative support to beneficiaries, clinical staff, and providers in support of the Autism Care Demonstration (ACD) The ACD is a benefit program for eligible TRICARE beneficiaries who have an Autism Spectrum Disorder (ASD) diagnosis, and provides a set of services not available under basic TRICARE benefits. Independent Thinking / Self-Initiative: Critical thinker with ability to focus on things which matter most to achieving outcomes; Commitment to task to produce outcomes without considerable direction and to find necessary resources.

Autism Care Demonstration Specialist

In support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

Autism Services Navigator

Dry Van and Flatbed positions are available with routes throughout the lower 48 states. We are currently looking for experienced CDL A drivers to join our company fleet.

Denver Cargo Inc.

OTR Dry Van & Flatbed Drivers

Betterteam

This work includes data entry and task processing in medical management and customer relationship management (CRM) systems, and making and receiving telephone calls, including participation in outreach campaigns. The Healthcare Operations Specialist provides non-clinical support to TriWest healthcare operations teams, supporting the access to care our military community deserves.

Healthcare Operations Specialist- HI

Remote Pharmacovigilance Pharmacist – Drug Safety From Home | No Prior Pharma Experience Required Contribute to global patient safety by collecting, evaluating, and documenting adverse events — entirely from home. This role is open to pharmacists from hospital, ambulatory, community, or managed care backgrounds who have strong attention to detail and want to enter the pharmaceutical industry.

Remote Pharmacovigilance / Drug Safety Pharmacist

We are seeking a knowledgeable and customer-focused HVAC Specialist to provide expert phone and email-based troubleshooting and applications assistance for residential and commercial water-source heat pump, geothermal, air-conditioning, and heat pump systems. Key Responsibilities: Provide troubleshooting and applications support via phone and email to external customers and internal teams (Customer Service, Sales) on a variety of HVAC systems and components.

The Bosch Group is a leading global supplier of technology and services. It employs roughly 375,000 associates worldwide (as of December 31, 2015). The company generated sales of 70.6 billion euros in 2015. Its operations are divided into four business sectors: Mobility Solutions, Industrial Technology, Consumer Goods, and Energy and Building Technology. The Bosch Group comprises Robert Bosch GmbH and its roughly 440 subsidiaries and regional companies in some 60 countries. Including sales and service partners, Bosch’s global manufacturing and sales network covers some 150 countries. The basis for the company’s future growth is its innovative strength. Bosch employs 55,800 associates in research and development at roughly 118 locations across the globe. The Bosch Group’s strategic objective is to deliver innovations for a connected life. Bosch improves quality of life worldwide with products and services that are innovative and spark enthusiasm. In short, Bosch creates technology that is “Invented for life.”

Robert Bosch GmbH

HVAC Specialist (Water Source Heat Pumps/Geothermal)

Department Position Summary: The Physician Coder III demonstrates the knowledge and skills necessary to optimally code profession physician accounts including E/M Levels and Surgical CPT Code assignment as well as the ability to resolve all issues including charge and claim edits. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10-CM diagnostic codes, CPT and/or HCPCS to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers.

Erlanger Health

Physician Coder Iii, Remote

Scope of Responsibilities/Expectations: Collaborate closely with business stakeholders and the enterprise architecture team to translate business requirements into scalable technical solutions across Oracle EBS, CPQ, and Oracle Fusion Cloud applications. Coordinate closely with external vendors and internal business leads to ensure successful implementation, ongoing operations, and alignment of project deliverables.

Work From Home Jobs in Tennessee

Business Development Associate BrightSpring Health Services

Senior Referral Specialist TriWest Healthcare Alliance

Specialty Pharmacist (Remote Options) Pharmacy Careers

Manager, Case Management Special Programs TriWest Healthcare Alliance

Health Coach TriWest Healthcare Alliance

Clinical Quality Support Specialist TriWest Healthcare Alliance

Remote Monitoring Analyst, White Pine, TN Sandvik

Supervisor, Utilization Management TriWest Healthcare Alliance

Engineer III - CICD Code Signing Automation (Remote) CrowdStrike Inc

Senior Director, Technical Training Reworld Holding Corp

Estimator FourPoint People

Business Analyst Sr TriWest Healthcare Alliance

Autism Care Demonstration Specialist TriWest Healthcare Alliance

Autism Services Navigator TriWest Healthcare Alliance

OTR Dry Van & Flatbed Drivers Denver Cargo Inc.

Healthcare Operations Specialist- HI TriWest Healthcare Alliance

Remote Pharmacovigilance / Drug Safety Pharmacist Pharmacy Careers

HVAC Specialist (Water Source Heat Pumps/Geothermal) Robert Bosch GmbH

Physician Coder Iii, Remote Erlanger Health

Fusion Technical Lead (US Remote) Motorola Solutions Inc

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